CHARIS ESTELLE ALDERFER-MUMMA ATR-BC, LPC, LMHC
NPI 1215041017
Counselor - Mental Health in Pullman, WA

Q: What is Charis Alderfer-mumma's NPI number?

The NPI number for Charis Alderfer-mumma is 1215041017. It was assigned to this individual provider in the NPPES registry on August 18, 2006. The provider is also known as Charis Estelle Alderfer Lpc.

Q: What is Charis Alderfer-mumma's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Charis Alderfer-mumma enrolled in Medicare?

No. Charis Alderfer-mumma has opted out of Medicare through April 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since August 18, 2006Opted out of Medicare · through Apr 2, 2028

340 NE MAPLE, PULLMAN, WA 99163(509) 334-1133(509) 332-1608 Get Directions Write a Review

NPPES record last updated: July 18, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Charis Estelle Alderfer-mumma Atr-bc, Lpc, Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARIS ESTELLE ALDERFER-MUMMA ATR-BC, LPC, LMHC (NPI 1215041017) is an individual mental health provider in Pullman, Washington, licensed in Washington (LH60172323) and active in the NPI registry since August 2006. She has opted out of Medicare through April 2, 2028.

NPPES Registry Identity

NPI1215041017

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameCHARIS ESTELLE ALDERFER-MUMMACredential: ATR-BC, LPC, LMHC

Location Address340 NE MAPLEPullman, WA 99163

Mailing Address340 Ne MaplePullman, WA 99163 · (509) 334-1133 · Fax (509) 332-1608

Phone(509) 334-1133

Fax(509) 332-1608

Sole ProprietorYes

Enumeration DateAugust 18, 2006

Last NPPES UpdateJuly 18, 2014

✔ NPI 1215041017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WA · LH60172323

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License PC004669 (PA)

340 NE MAPLE, Pullman, WA 99163

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Other Names 1

Former Name (1)Charis Estelle Alderfer Lpc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Charis Estelle Alderfer-mumma Atr-bc, Lpc, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 2, 2024 through April 2, 2028.

Opt-Out Effective DateApril 2, 2024

Opt-Out In Effect ThroughApril 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. STACY LYNN PETTITT MSW

Social Worker